MRS. MICHELLE E LIPKA (NPI# 1811483498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811483498 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE E LIPKA |
| Credential | RD |
| Practice Address |
Pronatural Physicians 120 Webster Square Rd Berlin CT 06037 |
| Mailing Address |
Pronatural Physicians Group 120 Webster Square Road Berlin CT 06037 |
| Practice Telephone | 8608790707 |
| Practice Fax Number | 8608290606 |
| Mailing Telephone | 8608290707 |
| Mailing Fax Number | 8608290606 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 725585 | CT | Dietary & Nutritional Service Providers |
| Street Address |
PRONATURAL PHYSICIANS 120 WEBSTER SQUARE RD |
| City | BERLIN |
| State | CT |
| Zip Code | 06037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| 1205014255 | Eob II Inc | Durable Medical Equipment & Medical Supplies | 51-59 Chamberlan Highway, Kensington, CT 06037 | 2008-02-01 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006637 | Lauren Holfeld | Dietitian, Registered | 9954 N Main St Unit 2, Berlin, MD 21811-1299 | 2019-04-23 |
| 1669809208 | Jane M Grant | Dietitian, Registered | 37 Webster Square Rd, Berlin, CT 06037-2326 | 2013-09-27 |
| 1649402033 | Maureen Seyford Leser | Dietitian, Registered | 56 Boston Dr, Berlin, MD 21811-1597 | 2009-08-18 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1417151515 | Linda Yarnall Gibbs | Dietitian, Registered | 12544 River Run Ln, Unit 91, Berlin, MD 21811-3236 | 2007-06-13 |
| 1609387679 | Katelyn R Busacca | Dietitian, Registered | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2017-10-18 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1558814764 | Emily T Engelke | Dietitian, Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-07-25 |
| 1629425160 | Grant's Nutrition and Wellness | Dietitian, Registered | 37 Webster Square Rd, Berlin, CT 06037-2326 | 2016-05-14 |
| 1689043242 | Michelle Clauson | Dietitian, Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2015-09-24 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.